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Table of Content

    25 August 2019, Volume 28 Issue 4 Previous Issue    Next Issue
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    Original Articles
    Effect of sandblasting combined with femtosecond laser-etching on surface physicochemical properties of pure titanium
    LI Chen, ZHOU Yue-ying, ZHOU Zhen-kai, ZHOU Jian-hang, ZHOU Hong-bo, LIU Ou-sheng
    2019, 28 (4):  337-342.  doi: 10.19439/j.sjos.2019.04.001
    Abstract ( 515 )   PDF (4550KB) ( 188 )  
    PURPOSE: The aim of this study was to generate periodic microstructures on pure titanium surface by femtosecond laser-etching after sandblasting, and to assess the physicochemical properties of its surface. METHODS: Twelve pure titanium discs with diameter of 10 mm and thickness of 4 mm were used and divided into 3 groups according to different surface treatment methods: group S (sandblasting surface), group SA (sandblasting surface with acid-etching), and group SL (sandblasting surface with femtosecond laser-etching). Scanning electron microscopy (SEM) was used to observe the surface morphology. X-ray energy spectrum(EDS) was used to observe the surface chemical compositions. Three dimensional surface topography and surface roughness were evaluated by laser scanning confocal microscope (CLSM). The static contact angle was detected by high temperature wetting angle measuring instrument. SPSS19.0 software package was used for statistical analysis. RESULTS: SEM and CLSM showed well-distributed periodic and cyclic microstructure which formed second-order roughness composite structure in group SL. EDS analysis showed that the Al element on SL surface decreased (group SL 4.37%<group S 5.18%<group SA 7.27%), and the ratio of O/Ti increased (group SL 1.74> group SA 0.32> group S 0). Surface roughness analysis showed that surface roughness significantly increased in group SL [group SL (7.33±0.38)μm>group SA (1.08±0.12)μm>group S (1.05±0.14)μm](P<0.001). Static contact angle analysis showed that the static contact angle of surface was significantly reduced in group SL [group SL (34.4±2.5)°<group SA (65.0±2.9)°<group S (83.7±2.6)°] (P<0.001). CONCLUSIONS: Sandblasting combined with femtosecond laser-etching of pure titanium surface has excellent surface physicochemical properties and is a promising surface modification technology for titanium implant.
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    Isolation and biological characteristics of exosomes derived from periodontal ligament stem cells
    ZHAO Li-ru, MAO Jia-qi, ZHAO Bing-jiao, CHEN Jing
    2019, 28 (4):  343-348.  doi: 10.19439/j.sjos.2019.04.002
    Abstract ( 323 )   PDF (4960KB) ( 255 )  
    PURPOSE: To isolate and identify exosomes derived from periodontal ligament stem cells (PDLSCs) collected by ultracentrifugation. METHODS: Using the limiting dilution technique, human PDLSCs were isolated and expanded. The cell culture supernatant of PDLSCs was collected. Exosomes were collected and purified with a ultracentrifugation method. Biological characteristics of exosomes derived from PDLSCs were measured by transmission electron microscopy (TEM), Western blot and nanosight tracing analysis (NTA). RESULTS: Exosomes could be successfully isolated from the supernatant of PDLSCs by a ultracentrifugation method. Under TEM, the PDLSC-derived exosomes exhibited elliptic or saucer-like shape and the central area had lower electron density than the circum area. The PDLSC-derived exosomes could express the common surface adhesion molecules CD9, CD63, CD81 and TSG101. NTA results showed that the collected exosomes had a size around (119±12.1) nm and an approximate concentration of (3.80±0.39)×108 particles/mL. CONCLUSIONS: Exosomes derived from PDLSCs can be collected by a ultracentrifugation method, which expresses common membrane proteins and morphological characteristics of exosomes.
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    Effect of baicalin on osteogenic differentiation of stem cells from human apical papilla
    MA Yong-gang, LI Yan, QIAN Jia, LI Yan-xiang, CAI Xue
    2019, 28 (4):  349-355.  doi: 10.19439/j.sjos.2019.04.003
    Abstract ( 269 )   PDF (5543KB) ( 286 )  
    PURPOSE: To investigate the effect of baicalin on osteogenic differentiation of stem cells from human apical papilla(SCAPs). METHODS: The third-passage SCAPs with stable passage ability were selected. After culturing for 24 hours in a medium containing 0, 10, 20, 50, 100 μmol/L of baicalin, cell viability in each group was measured by live/dead fluorescence staining. Then the SCAPs were divided into normal medium group(DMEM) and osteogenic induction medium group(ODM), and the experimental groups were further divided into 5 subgroups according to different concentrations of baicalin, i.e. 0, 10, 20, 50 and 100 μmol/L. Alkaline phosphatase(ALP) staining and ALP quantitative assay were used to detect the effects of different concentrations of baicalin on early osteogenic differentiation of SCAPs for 7 and 14 days; the effect of different concentrations of baicalin on osteogenic mineralization of SCAPs was determined by alizarin red staining after 21 days of culturing. MTT assay was used to detect the effects of baicalin at different concentrations on the growth of SCAPs. SPSS 20.0 software package was used for statistical analysis of the data. RESULTS: The results of live/dead cell fluorescence staining showed that SCAPs were vigorous after treatment in each concentration group, but when the concentration of baicalin was higher than 50 μmol/L, the number of dead cell increased. ALP quantitative results showed that ALP activity in the 20 μmol/L concentration group was significantly higher than that in the control group on the 14th day after induced differentiation in ODM group (P<0.05), and ALP activity in 100 μmol/L concentration group was significantly lower than that in the control group(P<0.05). After 14 days of DMEM culture, ALP activity of 20 μmol/L group was also significantly higher than that of the control group(P<0.05). Quantitative analysis of alizarin red showed that the A value of the 100 μmol/L group was significantly lower than the control group in ODM. 20 μmol/L baicalin was the optimum concentration to promote growth of SCAPs. CONCLUSIONS: Baicalin with a concentration higher than 50 μmol/L can significantly inhibit osteogenic differentiation of SCAPs, while low concentration of baicalin, especially 20 μmol/L of baicalin, has a promoting effect on SCAPs osteogenesis differentiation and proliferation.
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    Rutin promotes osteogenic differentiation of periodontal ligament stem cells under inflammatory microenvironment
    ZHAO Bin, ZHANG Yun-peng, XU Xin
    2019, 28 (4):  356-361.  doi: 10.19439/j.sjos.2019.04.004
    Abstract ( 262 )   PDF (4714KB) ( 254 )  
    PURPOSE: To explore the effect of rutin on osteogenic differentiation of periodontal ligament stem cells under inflammatory microenvironment. METHODS: Periodontal ligament stem cells (PDLSCs) were obtained by limited dilution method in vitro. PDLSCs were identified by flow cytometery. Lipopolysaccharide(LPS) was used to stimulate human periodontal ligament stem cells to establish an inflammation model in vitro. The experiment was divided into 4 groups: in group 1, only α-MEM was used to culture PDLSCs; in group 2, α-MEM medium containing LPS was used to culture PDLSCs, in group 3, rutin was added to α-MEM medium containing LPS to PDLSCs; and in group 4, α-MEM medium containing rutin was used to culture PDLSCs. Cell counting kit-8 was used to detect cell proliferation activity. Alkaline phosphatase(ALP) staining, ALP activity test, alizarin red staining, RT-PCR, and Western blot were used to detect the changes of osteogenic differentiation ability. The data were analyzed by SPSS 17.0 software package. RESULTS: The results of CCK-8 and ALP activity analysis showed that rutin at 10 μmol/L could significantly promote the proliferation and differentiation of periodontal stem cells under inflammatory state. ALP staining and alizarin red staining proved that (10 μmol/L) rutin could improve osteogenic differentiation of periodontal ligament stem cells under inflammatory microenvironment. RT-PCR and Western blot results showed that rutin could enhance the expression of osteogenic genes and proteins such as COL1, ALP, and RUNX2 under inflammatory state. CONCLUSIONS: Rutin can promote osteogenic differentiation of periodontal ligament stem cells under inflammatory microenvironment.
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    Antibacterial activity of erythritol on periodontal pathogen
    ZHANG Jia-li, YAO Jun, ZHUGE Ji-na, ZHANG Yan-jun
    2019, 28 (4):  362-367.  doi: 10.19439/j.sjos.2019.04.005
    Abstract ( 375 )   PDF (4531KB) ( 284 )  
    PURPOSE: To explore the effect of erythritol on the growth of Porphyromonas gingivalis (Pg), Aggregatibacter actinomycetemcomitans(Aa), Actinomices viscosus (Av), and to explore how Porphyromonas gingivalis affected by erythritol influence mRNA expression level of inflammatory in periodontal cells. METHODS: Pg, Aa, Av were anaerobically cultured (80%N2, 10%CO2, 10%H2) at 37℃ in 2, 4, 8, 16, 32, 64, 128 g/L erythritol- BHI mixture groups (experimental groups) and BHI groups (control group). The lowest erythritol concentration without turbidity or precipitation was the minimum inhibitory concentration. Pg was cultured in MIC, 1/2, 1/4, 1/8 MIC erythritol- BHI mixture groups (experimental groups) and BHI groups (control group). Each kind of bacteria in each concentration group was centrifugalled and cleaned before added into DMEM. The mixed suspension was co-cultured with the periodontal ligament cells in four generations for 24 hours, the supernatan was removed , then the total RNA in cracking cells was extracted and reversing transcription. At last, the relative expression of IL-1, IL-6, TNF-a was detected real-time fluorescent quantitative PCR. The data were analyzed with SPSS19.0 software package. RESULTS: The minimum inhibitory by concentrations of erythritol on three bacteria were as followed: Pg: 64 g/L,Aa: 128 g/L,Av: 128 g/L. The ability of stimulating periodontal ligament cells to produce IL-1β, IL-6 and TNF-α was different when Pg was cultured under different concentrations of erythritol. There was no significant difference between 0 g/L of control group and 8 g/L of experimental group. As the concentration reached 16 g/L, the relative expression of IL-1β, IL-6, TNF-α was reduced, and the higher concentration was, the less inflammatory factors was. However, the inflammatory factors in all the experimental groups were always significantly higher than that in the blank control group (P<0.05). CONCLUSIONS: Erythritol has an inhibitory effect on the growth of Pg, Aa and Av. In a certain range, higher concentration of erythritol delivers better inhibition effect. Erythritol can also reduce the periodontal pathogenicity of pathogenic bacteria in a way inhibiting the virulence of these bacteria, reducing the production of IL-1β, IL-6, and TNF-a in periodontal cells.
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    Biological effect of nicotine on Cal27 cell line in patients with tongue squamous cell carcinoma
    KANG Jian-yong, HE Juan, DUAN Xiao-feng
    2019, 28 (4):  368-372.  doi: 10.19439/j.sjos.2019.04.006
    Abstract ( 392 )   PDF (3933KB) ( 251 )  
    PURPOSE: To investigate the effect of nicotine on Cal27 cell line in patients with tongue squamous cell carcinoma. METHODS: Tongue squamous cell carcinoma Cal27 cells were subcultured, and the logarithmic growth phase cells were selected and divided into blank control group, nicotine-treated group and α7 nicotinic acetylcholine receptor inhibition-treated group (α7nAChR inhibition group). Cells in the blank control group received no treatment; cells in nicotine group received nicotine treatment, and cells in α7nAChR inhibition group were treated nicotine combined with α-bungarotoxin (α-BTX). The treatments lasted for 1 week. Cell morphology of blank control group and nicotine group was observed under electron microscope, cell proliferation was detected by CCK-8 kit, cell migration ability was detected by scratch test, cell invasion ability of blank control group and nicotine group was detected by Transwell chamber. The relative expression levels of Wnt signaling pathway proteins in nicotine group, blank control group and α7nAChR inhibition group were determined by Western blot. The data were statistically analyzed using SPSS 20.0 software package. RESULTS: Microscope showed that the rapidly adherent cells were uniformed polygon shape with large nucleus, and there was no significant difference among 3 groups. After 96 hours of incubation, the number of cells in nicotine group was significantly higher than that in the blank control group and α7nAChR inhibition group (P<0.05). The degree of scratch healing in nicotine group was significantly higher than that in the blank control group and α7nAChR inhibition group (P<0.05). The number of cells passing through the chamber in nicotine group was significantly higher than that of the blank control group andα7nAChR inhibition group (P<0.05). The relative expression levels of Wnt pathway proteins including β-catenin, c-Myc, p-GSK3β and Ror2 were significantly higher in nicotine group than those in the blank control group andα7nAChR inhibition group (P<0.05). CONCLUSIONS: Nicotine can enhance proliferation, migration and invasion of tongue squamous cell carcinoma Cal27 cells by activating Wnt signaling pathway.
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    Effects of microRNA-218 on proliferation, apoptosis and invasion of human tongue cancer cell line SCC-4 and SCC-9
    FENG Xiao-dong, YI Wen, YIN Wei-hong
    2019, 28 (4):  373-377.  doi: 10.19439/j.sjos.2019.04.007
    Abstract ( 201 )   PDF (3423KB) ( 200 )  
    PURPOSE: To study the effects of miR-218 on cell proliferation, apoptosis and invasion of human tongue cancer cell line SCC-4 and SCC-9 cells. METHODS: SCC-4 and SCC-9 cells were transfected with negative control, miR-218 mimics and inhibitor, then cell proliferation was detected by MTT assay, cell cycle and cell apoptosis were measured by flow cytometry, cell invasion ability was tested by Transwell assay. The data were analyzed using GraphPad 7.0 software package. RESULTS: Compared with control cells, there was no significant difference for cell proliferation, cell cycle, cell apoptosis and invasion ability in cells transfected with miR-218 inhibitor. However, decreased cell proliferation and invasion ability and increased apoptosis ratio were found in cells transfected with miR-218 mimics. CONCLUSIONS: The expression level of miR-218 in tongue cancer cell lines may be correlated with cell proliferation, apoptosis and invasion.
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    Preliminary development and cytotoxicity of Eucommia ulmoides gum composite soft denture liner
    LUO Heng, GAO Hai, XU Xue-fei, FENG Yun-zhi
    2019, 28 (4):  378-383.  doi: 10.19439/j.sjos.2019.04.008
    Abstract ( 4018 )   PDF (4262KB) ( 270 )  
    PURPOSE: To prepare a soft lining material with high elastic on the basis of excellent characteristics of Eucommia ulmoides gum, and explore its basic physical performance and cytotoxity. METHODS: Basic formula was used based on the existing formula of elastic Eucommia ulmoides gum and medical rubber, then hardness, tensile strength and elongation at break were investigated to determine the final formula of the material, named Eucommia ulmoides gum composite soft denture liner. L929 mouse fibroblasts cultured in vitro were used to detect the toxic effects of 50% of leaching solution released from three kinds of denture soft lining materials by MTT assay. Statistical analysis was performed using SPSS16.0 software package. RESULTS: The kinds and blending proportion of rubber matrix had significant impact on mechanical properties of Eucommia ulmoides gum composite soft denture liner, the addition of Eucommia ulmoides gum significantly increased the hardness, tensile strength and elongation at break of the butadiene rubber. MTT assay showed Eucommia ulmoides gum composite soft denture liner did not have cytotoxicity on L929 mouse fibroblasts. The toxicity levels of 5 groups of Eucommia ulmoides gum composite soft denture liner in the 2nd, 4th, 7th day were maintained in the first stage, only 70:30 group reached the second stage on the 7th day. The cell relative appreciation rate of Silagum and 5 groups of Eucommia ulmoides gum composite soft denture liner in 2nd, 4th, 7th day were significantly higher than that in the self-curing acrylic soft lining material (P<0.05). CONCLUSIONS: Eucommia ulmoides gum and butadiene rubber blend ratio of 70:30, adding appropriate amount of zinc oxide, magnesium, stearic acid, sublimed sulfur, CZ, antioxidants, can get optimum mechanical properties. Eucommia ulmoides gum composite soft denture liner has no effect on L929 fibroblasts proliferation, indicating good biocompatibility.
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    Effects of pit and fissure sealant combined with fluorine protective paint on prevention of children caries aged 5-8 years old
    LIN Jing, YAO Hua
    2019, 28 (4):  384-387.  doi: 10.19439/j.sjos.2019.04.009
    Abstract ( 410 )   PDF (2874KB) ( 302 )  
    PURPOSE: To investigate the effect of pit and fissure sealant combined with fluorine protective paint on prevention of children caries aged 5-8 years old. METHODS: Convenience sampling method was used to select 120 children who received oral health care in the First Affiliated Hospital of Zhejiang University and Hangzhou Dental Hospital from January 2014 to January 2017. They were grouped by random number table method: the control group (60 cases, 109 teeth) underwent pit and fissure sealant, and the experimental group (60 cases, 112 teeth) underwent pit and fissure sealant combined with fluorine protective paint. The patients were followed up for 2 years to compare the incident of dental caries. SPSS20.0 software package was used to analyze the data. RESULTS: The incidence of dental caries in the experiment group (2.68%) was significantly lower than that in the control group (10.09%) (P<0.05).The incidence of adjacent caries in the experiment group (1.79%) was significantly lower than that in the control group (9.17%) (P<0.05). At 1 and 2 years after sealing, the shedding rate(0.00%, 3.33%) of the sealant in the experiment group was significantly lower than that in the control group (10.00%, 15.00%)(P<0.05).The mean caries of the experiment group was significantly lower than that of the control group(P<0.05). CONCLUSIONS: The effect of combined pit and fissure sealant and fluoride protective paint on the prevention of dental caries in children aged 5-8 years old is ideal, which can reduce the incidence of dental caries and adjacent caries, reduce the mean caries, and keep the sealant intact. It is worthy of clinical promotion.
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    Evaluation of dental medical quality based on efficacy coefficient model
    QIAN Cheng-hui, HUANG Ling, XU Hong-zhen, BAI Li-ming, ZHU Jing, CHEN Dong
    2019, 28 (4):  388-390.  doi: 10.19439/j.sjos.2019.04.010
    Abstract ( 261 )   PDF (2241KB) ( 252 )  
    PURPOSE: To evaluate the dental quality comprehensively by data model of efficacy coefficient based on the principle of multi-objective programming. METHODS: The correlation index of dental medical quality was selected by Delphi method, while the index weight was determined by the scale of the analytic hierarchy process. Then efficacy coefficient method was used to evaluate the dental quality of Shanghai Stomatological Hospital in a certain period. RESULTS: During the period of 2016-2017, the D value of the efficiency coefficient was 84.92, 83.41, 86.99 and 81.98, respectively, which demonstrated that the overall quality of the hospital was in good condition. CONCLUSIONS: The efficiency coefficient method can objectively reflect the comprehensive level of medical quality, which can provide a strong support for comprehensive evaluation and control of the quality of dental hospital.
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    Effect of caries treatment under general anesthesia on oral health behavior and growth development of children in short term
    ZHAO Jin, LAI Guang-yun, WANG Jun
    2019, 28 (4):  391-396.  doi: 10.19439/j.sjos.2019.04.011
    Abstract ( 382 )   PDF (4389KB) ( 385 )  
    PURPOSE: To study changes of children caries activity after treatment under general anesthesia, and to analyze effect of caries treatment under general anesthesia on oral health behavior and growth index of children. METHODS: Patients who met criteria and were treated under general anesthesia were included in this study. Informed consent for this study was obtained from parents. Before and after treatment, children's oral health conditions were examined; height, weight were recorded; the caries activity was evaluated. In addition, questionnaires related to oral health behavior and early childhood oral health impact scales were fulfilled by parents. The patients were followed for 6 months after treatment. The data were analyzed using SPSS 25.0 software package. RESULTS: The average dmft of children before treatment was 14.02. Patients with supplemental feeding during sleep and additional bottle feeding in the first 6 months had higher dmft. The incidence of caries relapse was 25.67% after 3 months and 50% after 6 months. Caries activity decreased dramatically after treatment. Among three follow-up results, Cariostat scores at the 3rd month were the lowest. After general anesthesia, the eating frequency and sweets intake decreased obviously, and the time for tooth-brushing was longer, while the children's mealtime was significantly shorter. The number of children in normal BMI range significantly increased after dental general anesthesia. CONCLUSIONS: Dental general anesthesia can reduce caries activity and improve oral health behavior, nutritional status, physical and mental health of children in a short term. However, a large number of patients were still at a high risk of caries relapse after treatment.
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    The prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate: a cone-beam CT study
    JING Yi, XIAO Li-wei
    2019, 28 (4):  397-401.  doi: 10.19439/j.sjos.2019.04.012
    Abstract ( 879 )   PDF (3756KB) ( 222 )  
    PURPOSE: To assess the prevalence of fenestration and dehiscence of anterior teeth in adolescent patients with unilateral cleft lip and palate(UCLP). METHODS: Twenty-five males and seventeen females with UCLP who visited The Second Xiangya Hospital from June 2014 to September 2017 were selected. Forty-two age- and sex- matched non-cleft skeletal III patients were enrolled as the control group. Cone-beam CT(CBCT) scans were evaluated to detect fenestration and dehiscence.The data were analyzed using SPSS 22.0 software package. RESULTS: The prevalence of dehiscence of anterior teeth was 50.88% on the cleft side,42.39% on the non-cleft side and 28.77% on the controls, respectively. Dehiscence of maxillary teeth was more common on cleft side than the controls (P<0.05), and dehiscence of maxillary lateral incisor was common on non-cleft side compared with the control (P<0.05). Maxillary central incisor on the cleft side showed a higher prevalence of dehiscence compared with the non-cleft side (P<0.05). Most of the dehiscence was detected on the buccal side. Fenestration of the teeth showed no significant difference among the cleft side, non-cleft side and the control (P>0.05). CONCLUSIONS: Adolescent patients with UCLP show a high prevalence of fenestration and dehiscence,which deserves to be taken into consideration during clinical treatment.
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    Evaluation of harmonic scalpel assisted extracapsular dissection for benign parotid tumors
    ZHENG Chong-yang, ZHANG Xin-yu, CAO Rui, LIU Liu, HU Yong-jie
    2019, 28 (4):  402-407.  doi: 10.19439/j.sjos.2019.04.013
    Abstract ( 401 )   PDF (4918KB) ( 201 )  
    PURPOSE: To investigate the clinical outcomes and prognosis of harmonic scalpel assisted extracapsular dissection for benign parotid tumors. METHODS: A total of 132 patients with full medical archives who were diagnosed as benign parotid tumors from 3 medical centers were retrospectively analyzed. The included patients were divided into 3 groups according to tumor positions, namely, superficial pre-auricular, superficial tail, and deep lobe. The intra- and peri-operative variables, complications, functional outcomes and recurrence rates were analyzed with SPSS 16.0 software package. RESULTS: The surgical and drainage time were longer and the blood loss and drainage amount were significantly greater in deep lobe group (P<0.01). Facial nerve damage occurred more frequently in deep lobe group (P=0.022), while damages of great auricular nerve and parotid fascia, as well as capsule rupture were similar among 3 groups (P>0.05). More patients with decreased sensation or sialocele were observed in deep lobe group (P=0.004, 0.043, respectively), and no significant differences were found for wound infection and Frey's syndrome among 3 groups (P>0.05). Transient facial nerve paralysis occurred more frequently in deep lobe group (P<0.01), while permanent facial nerve paralysis was similar (P=0.052). No significant difference was observed for tumor recurrence (P=1.000). CONCLUSIONS: HS-ECD displays good outcomes and prognosis for benign tumor of parotid gland, with improved esthetic and functional results as well as fewer complications and recurrence rate postoperatively.
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    Differential screening and functional prediction analysis of miRNA expression profiles in periodontitis
    WANG Bao-hua, ZHAO Yi-fei, SHEN Li-rong, WANG Zhan-hong, KONG Ye, ZHUANG Qin
    2019, 28 (4):  408-411.  doi: 10.19439/j.sjos.2019.04.014
    Abstract ( 328 )   PDF (3108KB) ( 281 )  
    PURPOSE: To detect the gene expression of miRNAs in patients with periodontitis and to explore their biological functions and involved signaling pathways. METHODS: Bioinformatics analysis of gene chip data from 158 periodontitis patients and 40 healthy controls of the microarray database GSE54710 were performed. The expression changes of miRNAs were analyzed. The involved biological function and signal path was predicted. SPSS 19.0 software package was used for statistical analysis. RESULTS: Five miRNAs (hsa-miR-451, hsa-miR-223, hsa-miR-486-5p, hsa-miR-3917, hsa-miR-671-5p) were significantly up-regulated, and 4 miRNAs (hsa-miR-203, hsa-miR-210, hsa-miR-1246, hsa-miR-1260) were significantly down-regulated. Among them, there were 584 target genes of hsa-miR-1260 and 139 target genes of hsa-miR-451. KEGG pathway enrichment analysis showed that hsa-miR-1260 target gene was significantly enriched into 12 signaling pathways such as TGF-beta, and hsa-miR-451 target gene was significantly enriched into 17 signaling pathways. CONCLUSIONS: miRNAs expression profiles were obtained in periodontitis tissues, periodontitis-induced hsa-miR-1260 and hsa-miR-451 may play a key role in the pathophysiology of periodontitis.
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    Expression of CD44v6 and COX-2 in pleomorphic adenomas and carcinomas of parotid gland
    HU Yun, ZHANG Yan-sheng
    2019, 28 (4):  412-416.  doi: 10.19439/j.sjos.2019.04.015
    Abstract ( 268 )   PDF (3638KB) ( 210 )  
    PURPOSE: To investigate the correlation between CD44v6 and cyclooxygenase-2(COX-2) expression and recurrence and deterioration of pleomorphic adenoma of parotid gland. METHODS: Immunohistochemistry was used to detect the expression of CD44v6 and COX-2 in 19 normal parotid tissues, 25 primary pleomorphic adenomas, 15 first recurrent pleomorphic adenoma, 15 second recurrent pleomorphic adenoma and 13 cancer in pleomorphic adenomas. The correlation between CD44v6 and COX-2 and the recurrence and deterioration of pleomorphic adenomas was evaluated using SPSS 15.0 software package. RESULTS: The positive expression rate of CD44v6 in normal parotid gland, primary pleomorphic adenoma, first recurrent pleomorphic adenoma, second recurrent pleomorphic adenoma and cancer was 5.26%, 44.00%, 60.00%, 93.37% and 100.00%, respectively;and the positive expression rate of COX-2 was 10.53%, 40.00%, 63.33%, 93.37% and 100.00%, respectively. There was significant difference in the positive expression intensity of CD44v6 and COX-2 among the groups (P<0.05). The positive expression rate and intensity of CD44v6 and COX-2 in normal parotid gland tissue were significantly lower than those in other groups (P<0.05). There was no significant difference in the positive expression rate and intensity of CD44v6 between primary pleomorphic adenoma and first recurrent pleomorphic adenoma (P>0.05). There was no significant difference in the expression intensity of COX-2 between the two groups (P>0.05), but the positive expression rate of COX-2 between the two groups was not significant(P>0.05). The positive expression rate and intensity of CD44v6 and COX-2 in the second recurrent pleomorphic adenoma were significantly higher than those in the first recurrent pleomorphic adenoma(P<0.05), but there was no significant difference between the two groups(P>0.05). CD44v6 in the second recurrent pleomorphic adenoma and cancer was significantly higher than that in the first recurrent pleomorphic adenoma(P<0.05). There was no significant difference in the expression rate and intensity of COX-2 (P>0.05). CONCLUSIONS: CD44v6 and COX-2 may play an important role in promoting occurrence, invasion, recurrence and deterioration of pleomorphic adenoma through synergistic action.
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    Aesthetic effect of orthodontics treatment combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis
    ZHONG Han, JIANG Hui-juan, PAN Yu-zhi
    2019, 28 (4):  417-421.  doi: 10.19439/j.sjos.2019.04.016
    Abstract ( 634 )   PDF (3585KB) ( 462 )  
    PURPOSE: To explore the aesthetic effect of orthodontics treatment combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis. METHODS: Fifty patients with fan-shaped displacement of anterior teeth caused by periodontitis in PLA air force hospital from January 2013 to October 2018 were selected and randomly divided into the control group (n=25) and the experimental group (n=25). Patients in the control group were treated with conventional periodontal splint, while patients in the experimental group were treated with combined orthodontic treatment on the basis of the control group. Florida periodontal probe exploration depth (PD), gingival index (GI), attachment loss (AL), sulcus bleeding index (SBI), plaque index (PLI) and mobility were observed and compared before and 1 month after treatment between both groups. The levels of serum inflammatory factors interleukin-4 (IL-4), interleukin-6 (IL-6), tumor necrosis factor-α (TNF-α), C-reactive protein (CRP) and osteocalcin (OC) were measured and compared by ELISA before treatment and 1 month after treatment in both 2 groups. The data were analyzed with SPSS 21.0 software package. RESULTS: Compared with before treatment, PD and GI in both groups decreased significantly after treatment, and significantly lower in the experimental group than that in the control group (P<0.05); the levels of AL, SBI, PLI and tooth looseness in both 2 groups were significantly lower after treatment, and significantly lower in the experimental than in the control group (P<0.05); compared with before treatment, the levels of IL-4, IL-6, TNF-a and serum CRP in both 2 groups were significantly lower after treatment, and the experimental group was much lower than that in the control group (P<0.05). The level of osteocalcin in the experimental group was significantly higher than that in the control group at different time points after treatment (P<0.05). The level of osteocalcin in the experimental group reached its peak one day after treatment, and then gradually declined, the preoperative level was basically restored 7 days after treatment. CONCLUSIONS: Using orthodontics combined with periodontal splint in the treatment of fan-shaped displacement of anterior teeth caused by periodontitis has a remarkable effect. The symptoms of periodontitis can be effectively improved, the teeth can be effectively corrected and facial profiles of the patients can be improved.
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    Effect of individualized healing abutment on patients with posterior implant prosthesis and improvement of food impaction symptoms
    PAN Wen-hui, TANG Chun-bo
    2019, 28 (4):  422-425.  doi: 10.19439/j.sjos.2019.04.017
    Abstract ( 655 )   PDF (2856KB) ( 259 )  
    PURPOSE: To observe the effect of individualized healing abutment on patients with posterior dental implant prosthesis and its influence on implant stability and food impaction. METHODS: Eighty patients who received posterior dental implants in Jiangsu Stomatological Hospital from June 2013 to June 2018 were selected as the study subjects. According to the different healing abutment, they were divided into traditional operation group (40 cases) and experimental group (40 cases). Patients in the experimental group used personalized healing abutment on the basis of traditional dental implants. Differences in dental implant stability, food impaction score, masticatory efficiency and incidence of complications between the two groups after implant restoration were compared. SPSS 13.0 software package was used to analyze the data. RESULTS: At 1, 3 and 6 months after operation, the stability of implants in the experimental group was significantly higher than that in the control group (P<0.01); One, 3 and 6 months after operation, the food impaction score in the experimental group was significantly lower than that in the traditional operation group(P<0.01); There was no significant difference in masticatory ability between the two groups before operation; After treatment, the occlusive force and masticatory efficiency in the experimental group were significantly higher than those in the traditional operation group (P<0.05). The incidence of complications such as tooth loosening and periodontitis in the experimental group was significantly lower than in the traditional operation group (P<0.05). CONCLUSIONS: Individualized healing abutment has a good therapeutic effect on patients with posterior implant prosthesis, and can significantly improve the incidence of food impaction and complications with a good application value.
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    Clinical Reports
    Clinical analysis of impacted supernumerary teeth in 115 patients
    ZHAO Jun, LIU Na, SHEN Mo-lun, GAO Chao, HAO Xin-he
    2019, 28 (4):  426-429.  doi: 10.19439/j.sjos.2019.04.018
    Abstract ( 348 )   PDF (3042KB) ( 290 )  
    PURPOSE: To retrospectively analyze the clinical characteristics of impacted supernumerary teeth in 115 patients. METHODS: One hundred and fifteen patients with im-pacted supernumerary teeth who were admitted to the Department of Oral and Max-illofacial Surgery of Hefei Stomatological Hospital were selected randomly. The age, sex, number of teeth, location, direction, clinical manifestation, anaes-thesia method and operation time were analyzed retrospectively, T test and Chi-square test were used to determine the statistical differences with SPSS 19.0 software package. RESULTS: Among 115 patients, there were 176 impacted supernu-merary, most of them were in mixed dentition period (66.96%), the sex ratio was 2.29:1, and Most patients (59.1%) had one supernumerary tooth, followed by two supernumerary teeth(33.9%). Most supernumerary teeth were located in the middle of the maxilla (68.2%). Inverted ones were the most common (52.8%). The most common symptoms were delayed eruption, displacement, crowding, torsion and space of the adjacent teeth. 92.2% of patients underwent general anesthesia. The dee-per the locations of impacted supernumerary were, the longer the operation time was. CONCLUSIONS: There are regional characteristics of supernumerary teeth in Hefei City, which can provide a reference for clinical diagnosis and treatment.
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    Intramuscular type of nodular fasciitis: a report of 3 cases and review of literature
    LI Hui-xu, BU Ling-xue, PAN Ke-qing, FU Wei-wei, WANG Ya-ling
    2019, 28 (4):  430-434.  doi: 10.19439/j.sjos.2019.04.019
    Abstract ( 724 )   PDF (3845KB) ( 232 )  
    PURPOSE: To investigate the etiology and diagnosis of nodular fasciitis. METHODS: Three patients diagnosed as intramuscular type of nodular fasciitis were reported and the relevant literatures of etiology and diagnosis were reviewed. RESULTS: Nodular fasciitis was typically diagnosed in adults between the ages of 20 and 40 years with equal incidence of males and females. The boundary of nodule was clear or unclear on clinical examination. The nodules were closely related to myofascia on CT. Histopathological examination is the best tool to diagnose this disease. CONCLUSIONS: The pathogenesis of nodular fasciitis remains unknown, and clinical manifestations are complex and diverse. Clinicians should improve the understanding of nodular fasciitis to improve the accuracy of diagnosis. Surgery is the optimal treatment for nodular fasciitis.
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    Application of microvascular coupling device for arterial anastomosis in head and neck reconstruction
    YU Miao, CHEN Zhan-wei, HUANG Sheng-yun, ZHANG Dong-sheng
    2019, 28 (4):  435-438.  doi: 10.19439/j.sjos.2019.04.020
    Abstract ( 339 )   PDF (3331KB) ( 265 )  
    PURPOSE: The purpose of this study was to investigate the efficacy of microvascular coupler for arterial anastomosis in head and neck reconstruction during a 2-year period at the Department of Oral and Maxillofacial Surgery, Shandong Provincial Hospital. METHODS: Twenty-one cases of microvascular free flaps from October 2013 through December 2014 were retrospectively reviewed. Flap survival and thrombosis of the arterial anastomoses were determined in these cases. RESULTS: A total of 21 consecutive patients underwent microsurgical head and neck reconstruction, including 7(33.33%) radial forearm, nine(42.86%) fibular and 5(23.81%) anterior lateral thigh free flaps. There was 1 complication related to arterial thrombosis in this series, requiring surgical reexploration and a sutured anastomosis was performed. There were no complications related to technical performance of the coupling device. CONCLUSIONS: Use of a coupler device shows reliability for arterial anastomosis in head and neck reconstruction. With proper vessel selection and sufficient experience using the microvascular coupler, arterial coupling may be performed in an expeditious, safe, and reliable fashion with minimal morbidity. Though not commonly practiced, use of coupling device for arterial anastomosis can significantly save time, which is a viable alternative to sutured anastomosis.
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    Systemic Review
    Influence of removable thermoplastic appliances and fixed appliances on periodontal status: a meta analysis
    MA Rui, GAO Jie, LU Cun-cun, GE Zhen-lin
    2019, 28 (4):  439-444.  doi: 10.19439/j.sjos.2019.04.021
    Abstract ( 325 )   PDF (4425KB) ( 440 )  
    PURPOSE: To evaluate the influence of removable thermoplastic appliances and fixed appliances on periodontal status. METHODS: Cochrane library, PubMed, EMBASE, CBM, CNKI, VIP, Wanfang Database were searched from the date of inception to 2017.10.16,to find clinical trials about removable thermoplastic appliances and fixed appliances on periodontal status. The quality of the included studies was assessed by two reviewers independently, and meta analysis was performed using RevMan5.3. RESULTS: Totally 11 studies including 543 patients were identified. The results of meta analysis showed there were significant difference in PLI and SPD at 3 months and PLI and GI at 6 months between removable thermoplastic appliances and fixed appliances, and no significant difference was observed in GI at 3 months and SPD at 6 months between the two groups. CONCLUSIONS: In the early orthodontic treatment, removable thermoplastic appliances has better effect than the fixed appliance on periodontal health .
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    Case Reports
    Trigeminal herpes zoster with Ramsay Hunt syndrome: a report of one case and review of literature
    DING Zi-xue, WANG Meng-yao, MENG Jian
    2019, 28 (4):  445-448.  doi: 10.19439/j.sjos.2019.04.022
    Abstract ( 431 )   PDF (3190KB) ( 407 )  
    Trigeminal herpes zoster is a common disease in clinic. However, Ramsay Hunt syndrome with facial paralysis, earache and external auditory meatus herpes triad caused by herpes virus invading knee ganglion is rare. This paper reported a case of trigeminal herpes zoster complicated with Ramsay Hunt syndrome and reviewed the literature in order to further understand the nervous system infection caused by herpes zoster virus.
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